Child Sexual Abuse in Pakistan: Evidence-informed Policy Framework
Abstract Current policy response towards issue of child sexual abuse in Pakistan is not strategic and evidence-informed but incidents based and populist. Moreover, socio-economic, cultural and political factors influences also influence the policy response for addressing the problem of child sexual abuse (CSA). This study is an attempt to suggest the evidence-informed best practices regarding preventive and curative aspects of child sexual abuse in a policy framework. Using ICAST-R tool, 18-24 years old 274 university students were asked about their experiences of sexual abuse during childhood. After critical analysis of policy a rational and evidence-informed policy based on child rights framework and community development approach is proposed for identification of CSA, its prevention, addressing cultural barriers, responding to reported cases and other aspects. Overall, 41.69% respondents were sexually abused with one or other form of sexual abuse. Experience of CSA was reported more frequently by boys than girls. Only 34.21% of sexually abused children disclosed to someone and 65.78% victims of sexual abuse never disclosed the experience of sexual abuse to anyone. Among the victims of abuse who disclosed the abuse to someone only 12.82% disclosed within a day. Majority of disclosures (50.98%) were made to friend/peer, followed by parents (11.76%) and siblings (7.84%). Very small percentage of victims reported the abuse to doctor (3.92%), police (1.96%) or a counselor / social worker (1.96%).